Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edra Burris, PA-C

Individual provider Radiology Practitioner Assistant · NPI 1215546791

Edra Burris, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Imaging Associates of Indiana PC, a 290-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1606 N 7th St, Terre Haute, IN 47804-2706 — (812) 238-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009573 (MI)
Radiology Practitioner Assistant Taxonomy 243U00000X · Licence 5601009573 (MI)

Record details

NPI number1215546791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Imaging Associates Of Indiana Pc — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount